The Modified Overt Aggression Scale (MOAS)*

1 The Modified Overt Aggression Scale (MOAS)* Patient_____ Date_____ INSTRUCTIONS Rate the patient s aggressive behavior over the past week. Select as many items as are appropriate. SCORING 1. Add items within each category. 2. In the scoring summary, multiply sum by weight and add all the weighted sums for total weighted score. Use this score to track changes in level of Aggression over time. Verbal Aggression : Verbal hostility, statements or invectives that seek to inflict psychological harm on another through devaluation/degradation, and threats of physical attack. ___0. No verbal Aggression ___ 1. Shouts angrily, curses mildly, or makes personal insults ___ 2. Curses viciously, is severely insulting, has temper outbursts ___ 3. Impulsively threatens violence toward others or self ___ 4. Threatens violence toward others or self repeatedly or deliberately ( , to gain money or sex) ___ SUM VERBAL Aggression SCORE Aggression Against Property: Wanton and reckless destruction of ward paraphernalia or other s possessions.

2 ___ 0. No Aggression against property ___ 1. Slams door angrily, rips clothing, urinates on floor ___ 2. Throws objects down, kicks furniture, defaces walls ___ 3. Breaks objects, smashes windows ___ 4. Sets fires, throws objects dangerously ___ SUM PROPERTY Aggression SCORE Autoaggression: Physical injury toward oneself, self-mutilation, or suicide attempt. ___ 0. No autoaggression ___ 1. Picks or scratches skin, pulls hair out, hits self (without injury) ___ 2. Bangs head, hits fists into walls, throws self on floor ___ 3. Inflicts minor cuts, bruises, burns or welts on self ___ 4. Inflicts major injury on self or makes a suicide attempt ___ SUM AUTOAGGRESSION SCORE Physical Aggression : Violent action intended to inflict pain, bodily harm, or death upon another. ___ 0. No physical Aggression ___ 1. Makes menacing gestures, swings at people, grabs at clothing ___ 2. Strikes, pushes, scratches, pulls hair of others (without injury) ___ 3. Attacks others, causing mild injury (bruises, sprains, welts, etc.)

3 ___ 4. Attacks others, causing serious injury (fracture, loss of teeth, deep cuts, loss of consciousness, etc.) ___ SUM PHYSICAL Aggression SCORE SCORING SUMMARY Category Sum Score Weights Weighted Sum Verbal Aggression X1 Aggression Against Property X2 Autoaggression X3 Physical Aggression X4 Total Weighted Score